Individual
JOSHUA RAY GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 275-2000
Mailing address
1144 TROUP LN, DUBLIN, GA 31021-1011
(478) 676-2525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN122958
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000896904F
—
GA
Enumeration date
05/17/2006
Last updated
06/10/2024
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